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Request for Anointing of the Sick: Home, Hospital, Rehab Center or Nursing Home

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Emergency
REQUIRED

Call the office (321) 269-2282, ext. 7

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Note: The parish office is closed on Saturday and Sunday. If you have an immediate need for Anointing of the Sick on a weekend or after 5pm during the week, CALL THE PARISH OFFICE. When prompted, enter the number XX on your telephone keypad. This will transfer your call to Fr. Andrew's cell phone. Expect a phone call or message within 12-24 hours.

Are you, or do you know of a baptized Catholic in Holy Spirit's parish who is unable to travel to the church for the Anointing of the Sick? Complete this online form and you willl be contacted to arrange a visit (residence, hospital, or nursing home).

Caregiver's Name
REQUIRED

First and Last Name

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Sick person's name
REQUIRED

Sick person's name

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Address of Sick Person
REQUIRED

Street Address

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City/Town
REQUIRED

City/Town City/Town

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Can the sick person swallow?
REQUIRED

Is the sick person capable of swallowing? I want to prevent a choking incident.

YesNo. Precious Blood is preferred.Please fill out this field.

Briefly describe the nature of the illness, injury or handicap:
REQUIRED

By the sacred anointing of the sick and the prayer of the priests the whole Church commends those who are ill to the suffering and glorified Lord, that he may raise them up and save them and indeed she exhorts them to contribute to the good of the People of God by freely uniting themselves to the Passion and death of Christ.